Steele Lake Specialty PLLC
NPI 1215716998 · Surgery Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Steele Lake Specialty PLLC is a Surgery Physician organization in Idaho Falls, ID (NPI 1215716998).
Provider details
- NPI number
- 1215716998
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mackenzie Ingle, Office Manager(208) 201-0215
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2023-11-30
- Certified
- 2023-11-29
Frequently asked questions
- What is Steele Lake Specialty PLLC's NPI number?
- Steele Lake Specialty PLLC's National Provider Identifier (NPI) is 1215716998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Steele Lake Specialty PLLC?
- Steele Lake Specialty PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Steele Lake Specialty PLLC located?
- Steele Lake Specialty PLLC's practice location on file with NPPES is 3200 Channing Way Ste 206, Idaho Falls, ID 83404-7546.
- What is Steele Lake Specialty PLLC's phone number?
- The practice phone number listed in the NPPES registry for Steele Lake Specialty PLLC is (208) 529-2230.
- Does Steele Lake Specialty PLLC accept Medicare?
- Steele Lake Specialty PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Steele Lake Specialty PLLC?
- The authorized official listed on Steele Lake Specialty PLLC's NPPES record is Mackenzie Ingle, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Steele Lake Specialty PLLC's NPI active?
- Yes — Steele Lake Specialty PLLC's NPI (1215716998) is active in the NPPES registry as of the last update on 2023-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.